Our study yielded 3 central findings: first, a dissociation between the "silent" anterior and nonsilent middle/posterior OFC where stimulation clearly elicits changes in subjective experience; second, evidence that the OFC might play a causal role in integrating affect and multimodal sensory experiences; and third, clear evidence for left lateralization of negatively valenced effects. Our findings provide important information for clinicians treating OFC injury or planning OFC resection and scientists seeking to understand the brain basis for the integration of sensation, cognition, and affect.
The P300 speller is a common brain-computer interface system that can provide a means of communication for patients with amyotrophic lateral sclerosis (ALS). Recent studies have shown that incorporating language information in signal classification can improve system performance, but they have largely been tested on healthy volunteers in a laboratory setting. The goal of this study was to demonstrate the functionality of the P300 speller system with language models when used by ALS patients in their homes. Six ALS patients with functional ratings ranging from two to 28 participated in this study. All subjects had improved offline performance when using a language model and five subjects were able to type at least six characters per minute with over 84% accuracy in online sessions. The results of this study indicate that the improvements in performance using language models in the P300 speller translate into the ALS population, which could help to make it a viable assistive device.
The P300 Speller Brain-Computer Interface (BCI) provides a means of communication for those suffering from advanced neuromuscular diseases such as amyotrophic lateral sclerosis (ALS). Recent literature has incorporated language-based modelling, which uses previously chosen characters and the structure of natural language to modify the interface and classifier. Two complementary methods of incorporating language models have previously been independently studied: predictive spelling uses language models to generate suggestions of complete words to allow for the selection of multiple characters simultaneously, and language model-based classifiers have used prior characters to create a prior probability distribution over the characters based on how likely they are to follow. In this study, we propose a combined method which extends a language-based classifier to generate prior probabilities for both individual characters and complete words. In order to gauge the efficiency of this new model, results across 12 healthy subjects were measured. Incorporating predictive spelling increased typing speed using the P300 speller, with an average increase of 15.5% in typing rate across subjects, demonstrating that language models can be effectively utilized to create full word suggestions for predictive spelling. When combining predictive spelling with language model classification, typing speed is significantly improved, resulting in better typing performance.
Cardiac sympathetic denervation (CSD) to treat ventricular arrhythmias (VAs) requires transection at the middle or lower third of stellate (cervicothoracic) ganglia (SG). However, the morphological appearance of the adult SG and distribution of neuronal somata within it are not well described. To determine the morphology of left and right SG (LSG and RSG) and the distribution of somata within. LSG and RSG (n = 28) from 14 embalmed adult cadavers were dissected intact. Weight, volume, height, morphologic appearance, relationship between C8 and T1 ganglia (which form the SG) were determined, along with histology. Demographics, history of cardiac disease, and cause of death were also reviewed. Mean age of the subjects was 76 ± 13 years, and 5/14 were male. Three distinct morphologies of SG were identified: fusiform-rounded; fusiform-elongated; and bilobed. RSG and LSG did not differ in weight or volume. RSG were longer than LSG (2.05 ± 0.28 cm vs. 1.66 ± 0.47 cm, P = 0.024). Bilobed morphology was most common in RSGs (8/14), while fused, elongated was most common in LSG (8/14). RSGs lacked fused, rounded appearance, while 28.6% of LSG appeared as such. Histologically, one focus of somata was seen in fused rounded ganglia, while fused elongated SG had somata distributed throughout. Bilobed SG demonstrated two foci of somata, with the interconnecting stalk containing sparse somata. SG appears in three major forms and contains varying distributions of somata. Larger studies are warranted to define the relationship between gross anatomy and distribution of neuronal somata to improve the efficacy of CSD in treating VAs. Anat Rec, 2018. © 2018 Wiley Periodicals, Inc.
We describe the case of a patient with well‐localized focal seizures originating from the medial parietal cortex. Seizures originated from area 7m, and findings revealed clear visuospatial semiological signs that may be used clinically to help diagnose similar cases of seizures in non‐lesional patients.
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